Title: Message
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Thanks for your reply Gloria, but the rule you are
talking about is for Medicare + choice ABN and I had been referring to
the Medicare ABN. I appreciate your help. Jeanne
----- Original Message -----
Sent: Saturday, March 06, 2004 5:37
PM
Subject: RE: New notice of non coverage
letters
Thank you Dawn. I had already read this
information and the wording seems to put an extra burden on the
provider to know the discharge date "reasonably" in advance. I am not sure
what that means. Discharge planning should start when you accept a resident
into your facility and should never come as a surprise to a resident or
family. But what is reasonable notice? After PPS meetings we inform our
resident/family that therapy is coming close to an end due to ?,
or we are watching a healing wound, or a resident's improving po
status may make the resident fall out of the G-tube skilling criteria,
etc. So we keep everyone informed but we issue the ABN on the last covered
day and the next day is the day the payor source changes. I've heard many
say that you MUST give 3 days notice but I have not seen that in
writing. With continuous resident/family updates can we still issue the
ABN on the last day of skilled services. I would love to hear comments.
Jeanne
Sent: Tuesday, March 02, 2004 10:54
AM
Subject: RE: New notice of non
coverage letters
Is this what you are looking
for?
CMS-4090-N PUB DATE: 02/27/2004
Medicare Program;
Town Hall Meeting on Proposed Collection-- Comment Request for Skilled
Nursing Facility Advance Beneficiary Notice (SNFABN)
This
notice announces a Town Hall meeting to solicit input from the public on
the proposed use of a Skilled Nursing Facility Advance Beneficiary Notice
(SNFABN). Interested persons are invited to comment on the SNFABN Notice
(CMS-10055 form) collection instrument, the associated burden or any other
aspect of this collection of information, including any of the following
subjects: (1) The necessity and utility of the proposed information
collection for the proper performance of the agency's functions; (2) the
associated time burden; (3) ways to enhance the quality, utility, and
clarity of the information to be collected; and (4) the use of automated
collection techniques or other forms of information technology to minimize
the information collection burden. The meeting is open to the public, but
attendance is limited to space available.
View the entire document for CMS-4090-N from the "Federal
Register" (PDF - 41 KB)
http://www.cms.hhs.gov/providerupdate/regsum.asp#4090N
Dawn Freeman, LPN
MDS Coordinator
PG Tampa
I pulled some info about the new letters that we are supposed to be
using. I didn't save that discussion and now my billing auditor
wants sepcifics about it. Where can I find more info?
Thanks,
Michelle
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Thank You.
Michelle Witges
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